Violence Victimization and Condomless Anal Intercourse Among Transgender Women in China: Mediating Role of Depression

Transgender women (TGW) worldwide report disproportionate violence victimization, depression and condomless anal intercourse (CAI), but the mechanism of the coexistence remains unclear. Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China between April 2017 and July 2017,...

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Bibliographic Details
Published in:AIDS and behavior 2021-05, Vol.25 (5), p.1597-1605
Main Authors: Wang, Huwen, Zeng, Chengbo, Li, Xiaoming, Chang, Ruijie, Yu, Xiaoyue, Xu, Chen, Ma, Tiecheng, Wang, Ying, Qiao, Shan, Cai, Yong
Format: Article
Language:English
Subjects:
Aggression
Anal intercourse
China - epidemiology
Coexistence
Crime Victims
Depression - epidemiology
Female
Female roles
Health planning
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Mental depression
Mental health
Mental health services
Original Paper
Prevalence
Public Health
Sexual Behavior
Sexual intercourse
Sexual Partners
Sexually transmitted diseases
Snowball sampling
STD
Tests
Transgender Persons
Victimization
Victims of crime
Violence
Womens health
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Summary:Transgender women (TGW) worldwide report disproportionate violence victimization, depression and condomless anal intercourse (CAI), but the mechanism of the coexistence remains unclear. Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China between April 2017 and July 2017, and conducted confidential questionnaire survey among them. Positive HIV status was reported by 49 (24.7%) participants. 117 (59.1%) reported at least one type of lifetime violence victimization, with transactional sexual partners being the main violence perpetrators. 108 (54.5%) reported mild to severe depression. 105 (53.0%) reported having CAI with their sexual partners during the last 6 months. Path analysis showed that the association between participants’ violence victimization and CAI was fully mediated by their depression (indirect effect: 0.083, p = 0.014; direct effect: 0.137, p = 0.121). We suggest to incorporate violence screening and prevention and mental health services into intervention strategies to prevent CAI among Chinese TGW.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-020-03076-w